Your urologist will take your health and surgical histories. Your urologist will want to know about anything that might lower your fertility. These might include defects in your reproductive system, low hormone levels, sickness or accidents.
Your urologist will ask about childhood illnesses, current health problems, or medications that might harm sperm production. Such things as mumps, diabetes and steroids may affect fertility. Your urologist will also ask about your use of alcohol, tobacco, marijuana and other recreational drugs. He will ask if you’ve been exposed to radiation, heavy metals or pesticides. Heavy metals are an exposure issue (e.g. mercury, lead arsenic). All of these can affect fertility.
Your urologist will learn how your body works during sex. He or she will want to know about you and your partner’s efforts to get pregnant. For example, your urologist may ask if you’ve had trouble with erections.
The physical exam will look for problems in your penis, epididymis, vas deferens, and testicles. Your doctor will look for varicoceles. They can be found easily with a physical exam.
TESTS
→ TRANSRECTAL ULTRASOUND
→ SEMEN ANALYSIS
→ HORMONAL ANALYSIS
→ ULTRASOUND SCROTUM WITH DOPPLER
HORMONAL ANALYSIS
Above tests may be done singly or in combination to find out the cause of male infertility.